Secondary hypoadrenalism is the state of being adreno-suppressed, for whatever reason (be it drugs, critical illness or hypothalamic-pituitary malfunction)- but in the presence of normal adrenal glands. Taken to its furthest extent, it leads to an "Addisonian crisis", characterised by circulatory collapse hyperkalemia and hypoglycaemia. Primary adrenal insufficiency is the state of adrenal malfunction due to genuinely disorderly adrenal glands. Oh's Manual divides adrenal insufficiency into primary, secondary, or relative. Beyond that, it pops up now and then among a list of differentials. Question 8 from the second paper of 2004 was the only question to ask directly about adrenal insufficiency.
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